| NPI | 1497797104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 023243) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 024243) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-10-31 |